alabama - america's health rankings...water flratn latn serve) limate hange clate change ples...

State Nation

For source details and methodology visit www.AmericasHealthRankings.org.

FREQUENT MENTAL DISTRESS

PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary

Trends Economic Hardship IndexThe economic hardship index compares financial strain between states. It combines six population-level social and economic measures to provide a more complete picture of the difficulties faced by communities than a single measure could provide.

Multiple Chronic ConditionsChronic conditions are medical conditions that last more than a year, require ongoing medical attention and/or limit activities of daily living. Adults with multiple chronic conditions represent one of the highest-need segments of the population.

Highlights:

U N I T E D H E A LT H F O U N DAT I O N | A M E R I C A’S H E A LT H R A N K I N G S ® 2 0 2 0

ArthritisAsthmaCancer (excluding skin)Cardiovascular DiseaseChronic Kidney DiseaseChronic Obstructive Pulmonary DiseaseDepressionDiabetes

Crowded Housing (units with more than one person/room)Dependency (ages 0-17 or ages 65+)Education (ages 25+ without a high school diploma)Per Capita IncomePoverty (households below the poverty level)Unemployment (ages 16-64)

State Value

State Value

Measure

Measure

AMERICA’S HEALTH RANKINGS® ANNUAL REPORT www.AmericasHealthRankings.org

Strengths:• Low prevalence of excessive drinking• High high school graduation rate• Low racial gap in high school graduation

Challenges: • High premature death rate • High prevalence of multiple chronic conditions• High prevalence of cigarette smoking

26%

19%

25%

33%

between 2011 and 2018 from 72.0% to 90.0% of students

between 2016 and 2020 from 85.0 to 112.7 per 100,000 population

between 2015 and 2019 from 13.9% to 17.5% of adults


30% between 2011-2013 and 2016-2018 from 5.3 to 6.9 deaths per 100,000 workers

OCCUPATIONAL FATALITIES

50% between 2008 and 2018 from 50.5 to 25.2 births per 1,000 females ages 15-19

TEEN BIRTHS


DIABETES

HIGH SCHOOL GRADUATION

MENTAL HEALTH PROVIDERS

Ala

bam

a

AlabamaState Health Department Website: alabamapublichealth.gov

1.5%39.6%12.9%

$28,65015.9%

5.1%

33.9%9.5%7.5%

12.3%3.5%9.9%

24.1%14.0%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

* Measure not included in overall score. For measure definitions, source details and methodology, visit www.AmericasHealthRankings.org.—Indicates data missing or suppressed.

Rating Value Rank State

S O C I A L & EC O N O M I C FACTO RS

C L I N I CA L CA R E

B E H AV I O RS

H E A LT H O U TC O M E S

MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50

P H YS I CA L E N V I RO N M E N T

Community and Family Safety Occupational Fatalities (deaths per 100,000 workers) Public Health Funding (dollars per person) Violent Crime (offenses per 100,000 population)Economic Resources Economic Hardship Index (index from 1-100) Food Insecurity (% of households) Income Inequality (80-20 ratio)Education High School Graduation (% of students) High School Graduation Racial Gap (percentage point difference)Social Support and Engagement Adverse Childhood Experiences (% of children ages 0-17) High-speed Internet (% of households) Residential Segregation (index from 0-100) Volunteerism (% of adults) Voter Participation — Midterm (% of U.S. citizens)

Air and Water Quality Air Pollution (micrograms of fine particles per cubic meter) Drinking Water Violations (% of community water systems) Non-smoking Regulation (% of population)* Risk-screening Environmental Indicator Score (unitless score) Water Fluoridation (% of population served)Climate Change Climate Change Policies (number of four policies)* Transportation Energy Use (trillions of BTUs per 100,000 population)*Housing and Transit Drive Alone to Work (% of workers) Housing With Lead Risk (% of housing stock) Severe Housing Problems (% of occupied housing units)

Access to Care Avoided Care Due to Cost (% of adults) Providers Dental Providers (number per 100,000 population) Mental Health Providers (number per 100,000 population) Primary Care Providers (number per 100,000 population) Uninsured (% of population)Preventive Clinical Services Colorectal Cancer Screening (% of adults ages 50-75) Dental Visit (% of adults) Immunizations Childhood Immunizations (% by age 35 months) Flu Vaccination (% adults) HPV Vaccination (% of adolescents ages 13-17)Quality of Care Dedicated Health Care Provider (% of adults) Preventable Hospitalizations (discharges per 100,000 Medicare enrollees)

Sleep Health Insufficient Sleep (% of adults) Nutrition and Physical Activity Exercise (% of adults) Fruit and Vegetable Consumption (% of adults) Physical Inactivity (% of adults)Sexual Health Chlamydia (cases per 100,000 population) High-risk HIV Behaviors (% of adults) Teen Births (births per 1,000 females ages 15-19)Tobacco Use E-cigarette Use (% of adults)* Smoking (% of adults)ALL DETERMINANTS

Behavioral Health Depression (% of adults)* Excessive Drinking (% of adults) Frequent Mental Distress (% of adults) Non-medical Drug Use (% of adults)Mortality Drug Deaths (deaths per 100,000 population)* Premature Death (years lost before age 75 per 100,000 population) Premature Death Racial Inequality (ratio) Suicide (deaths per 100,000 population)*Physical Health Frequent Physical Distress (% of adults) Low Birthweight (% of live births) Low Birthweight Racial Gap (percentage point difference) Multiple Chronic Conditions (% of adults) Risk Factors High Blood Pressure (% of adults)* High Cholesterol (% of adults)* Obesity (% of adults)OVERALL

Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Alabama

-0.3006.9

$1165117014.75.1590.03.915.483.556

27.450.7

0.3428.00.713.4

6,153,974 78.0

010.185.211.713.9

-0.61218.1

42.4112.7

203.59.7

70.460.8

81.042.147.377.3

5,451

-1.06538.617.65.931.5

583.46.425.2—

20.2-0.481

-0.90524.113.617.512.016.1

10,4211.2

16.916.010.78.214.5

42.536.936.1

-0.590

4343134443434551

2246244137

2335313736233636501314

4349

485046332043

1031422645

4643454546362841

4445

48433

473019488

2847484447

484644—

++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++

++

++++++++++

++++++++++++

+++++++++++

++

++++++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of low birthweight • Low prevalence of multiple chronic conditions• Low preventable hospitalization rate

Challenges: • High prevalence of 2+ adverse childhood experiences• High incidence of chlamydia• High violent crime rate

56%

19%

17%

15%

between 2017 and 2019 from 48 to 40


between 2017 and 2018 from 3.4 to 5.3 percentage points




24% between 2012 and 2018 from 3,178 to 2,408 discharges per 100,000 Medicare enrollees

PREVENTABLE HOSPITALIZATIONS

LOW BIRTHWEIGHT RACIAL GAP

HIGH BLOOD PRESSURE

ECONOMIC HARDSHIP INDEX SCORE


Ala

ska

AlaskaState Health Department Website: dhss.alaska.gov

6.7%37.0%6.4%

$36,9789.1%5.8%

21.6%9.9%5.3%5.6%1.8%4.6%17.4%7.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Alaska

-0.17111.5

$28986740

10.84.2978.514.721.989.750

40.652.8

0.0656.95.047.1

13,132 49.6

022.970.07.7

20.5

-0.33913.5

90.6523.8321.112.260.069.3

66.637.452.668.1

2,408

-0.11033.525.68.121.7

832.56.519.3

6.0%17.4

-0.157

0.51017.418.212.09.014.7

7,9782.4

25.29.85.95.36.4

32.828.630.5

0.007

36501

501920104925481611527

401548293

43365043

46

3431

134

444815

494632474

32209247

503131

3334

11162211121433434821

171

26318—

+++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++

++++

+++++++++++++++++++++

++++++++++

++++++++++++++++++++++++

++++

++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low percentage of housing with lead risk• Low preventable hospitalization rate• Low residential segregation

Challenges: • High economic hardship index score• Low high school graduation rate• High prevalence of high-risk HIV behaviors

9% 29%

24%30%

between 2017 and 2019 from 13.6% to 12.4%



between 2006-2008 and 2016-2018 from 1.7 to 2.1

HOUSEHOLDS BELOW THE POVERTY LEVEL FREQUENT MENTAL DISTRESS

PREMATURE DEATH RACIAL INEQUALITY (RATIO)

17% between 2011 and 2019 from 40.2% to 33.4% of adults

HIGH CHOLESTEROL

ADULTS WHO AVOIDED CARE DUE TO COST

113% between 2008 and 2018 from 273.5 to 581.6 cases per 100,000 population

CHLAMYDIA

Ari

zona

ArizonaState Health Department Website: azdhs.gov

4.3%40.5%12.4%

$32,17312.4%

5.1%

23.6%9.7%7.5%8.5%4.2%6.7%

16.8%10.9%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Arizona

-0.1634.3$5745571

12.44.4178.715.617.088.343

30.058.9

0.3218.60.9

100.03,091,041

58.01

7.075.66.818.0

-0.53113.9

55.1146.8214.911.367.462.3

70.339.656.971.1

2,755

0.08634.025.510.224.1

581.67.620.1—

14.9-0.106

-0.05716.816.514.413.723.97,527

2.120.113.27.65.39.8

32.533.431.4

-0.098

35194641453119472833242

3310

2645321

243726513241

3934

334741413640

464020447

242210515354733

1930

2991336443126403931161728

252620—

++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++

++++

+++++++++

+++++++++++++

+++++++++++++++++++++++++

+++++++

+++++++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low percentage of housing with lead risk• Low prevalence of excessive drinking• Low racial gap in high school graduation

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of multiple chronic conditions• High economic hardship index score

27%

9%

between 2013 and 2019 from 460 to 585 offenses per 100,000 population


VIOLENT CRIME



HIGH SCHOOL GRADUATION RACIAL GAP

16%

25%

between 2012 and 2018 from 5,666 to 4,747 discharges per 100,000 Medicare enrollees



SMOKING

18% between 2015 and 2018 from 68.2% to 80.8% of households

HIGH-SPEED INTERNET

Ark

ansa

s

ArkansasState Health Department Website: healthy.arkansas.gov

2.8%40.5%12.5%

$27,27416.3%5.0%

31.3%9.3%7.4%

12.0%4.0%

10.5%25.0%13.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Arkansas

-0.7928.0

$1095858015.14.7389.27.224.180.863

30.042.6

0.5727.30.10.5

4,791,472 85.4

19.6

82.410.914.1

-0.58315.7

42.4244.9206.0

9.166.656.1

75.742.150.578.94,747

-0.92136.119.38.031.2

587.96.9

30.47.0%20.2

-0.603

-0.89625.014.917.812.715.2

9,8901.218.717.49.48.214.2

41.037.437.4

-0.678

4846184746453295

5048413350

112512403120263344917

4243

483045314248

3031352137

4529442544403750

4447

47476

4834174483149424446

474748—

+++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++

++

+++++++++

++++++++++++

++++++++++++++

++

++++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• Low prevalence of obesity• Low premature death rate

Challenges: • High levels of air pollution• High economic hardship index score• High prevalence of high-risk HIV behaviors

61%

7%

8%

14%

between 1992 and 2019 from 1,120 to 441 offenses per 100,000 population


between 2009 and 2018 from 10.7 to 11.5 deaths per 100,000 population


VIOLENT CRIME


TEEN BIRTHS

SUICIDE

HIGH HEALTH STATUS


11% between 2013-2015 and 2017-2019 from 11.4 to 12.6 micrograms of fine particulate per cubic meter

AIR POLLUTION

Cal

iforn

ia

CaliforniaState Health Department Website: cdph.ca.gov

8.2%37.3%16.0%

$39,39311.4%5.2%

19.8%7.8%5.8%6.5%3.0%4.4%

14.6%10.1%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


California

0.0032.9

$11844167

10.65.0783.016.511.991.153

25.451.9

-0.34212.60.0

100.0 14,891,163

59.34

8.073.517.626.4

0.10311.9

75.7386.6189.7

7.771.667.4

72.441.456.474.8

3,330

0.28934.422.68.7

22.4585.3

7.613.6—

10.00.053

0.62714.618.311.913.313.5

5,6501.511.511.67.05.96.9

27.829.926.1

0.196

271

1239411843363146164632

495011

43361

209

2849

2319

41148221726

4136223413

142527169

384714

227

54

241038132277169214

375—

+++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++

+++++++

++++++++++++++++++++

++++++++++++

++++++++++++++++++++++++++

++++++++

++++++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of multiple chronic conditions• Low prevalence of physical inactivity

Challenges: • Low high school graduation rate• High prevalence of low birthweight • High prevalence of non-medical drug use

25% 34%

34%

8%

13%

27%

between 2013-2015 and 2016-2018 from 12.1% to 9.1% of households

between 2017 and 2019 from $36,345 to $41,053


between 2008 and 2018 from 388.3 to 519.4 cases per 100,000 population


between 2011 and 2018 from 8.7% to 9.4% of live births

FOOD INSECURITY CHLAMYDIA


LOW BIRTHWEIGHT

PER CAPITA INCOME

FLU VACCINATION COVERAGE

Col

orad

o

ColoradoState Health Department Website: colorado.gov/cdphe

2.7%36.5%

7.6%$41,053

9.5%3.7%

22.3%9.7%6.6%5.7%1.8%4.5%17.2%7.0%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Colorado

0.3973.5

$104381109.1

4.3080.817.315.991.858

32.458.1

0.6556.70.3

100.04,216,361

74.93

7.674.212.216.4

0.38812.1

70.8385.0256.0

8.068.967.6

75.746.463.573.4

2,434

0.80529.827.49.018.7

519.46.414.37.5%13.5

0.538

0.53717.219.612.313.417.1

6,2611.5

22.410.09.44.86.4

25.829.923.8

0.538

136213037114435244

322511

513171

27281212111433

1721

101224253024

30157

395

733112

282817

119

912351339211027455

42141

171

—

+++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++++++

+++++++

+++++++++++++++++++++

+++++++++++++++++++

++++++++++++++++++++++++++++++++++

+++++++++

++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of cigarette smoking• Low teen birth rate

Challenges: • High percentage of housing with lead risk• High income inequality• High residential segregation

11%

19%

8%

22%

between 2008-2012 and 2013-2017 from 19.3% to 17.8% of occupied housing units


between 2014 and 2018 from 5,451 to 6,035 years lost before age 75 per 100,000 population


18% between 2007 and 2019 from 4.44 to 5.26

INCOME INEQUALITY


EXERCISE

PREMATURE DEATH


SEVERE HOUSING PROBLEMS


Con

nect

icut

ConnecticutState Health Department Website: portal.ct.gov/dph

1.6%38.0%

9.3%$45,359

10.4%5.4%

23.6%10.5%

7.2%6.6%2.4%5.2%

14.4%9.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Connecticut

0.3613.5

$9018425

12.45.2688.414.812.291.159

31.854.0

0.2377.00.60.0

2,130,643 89.5

46.578.326.617.8

1.0259.9

71.9427.5277.95.975.476.5

83.249.753.883.4

4,365

1.03633.226.111.323.5

466.35.58.3

5.6%12.1

0.657

0.70914.417.711.38.9

29.96,035

1.311.310.67.66.47.7

30.934.529.1

0.675

156

28393146132666

362823

33172942191413

224640

58

77151141

53

281028

31762121683

45

3318311425166916257

153312—

++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++++++++

+++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++

++++++++++

+++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High immunization coverage among children• Low premature death racial inequality• Low residential segregation

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of multiple chronic conditions• High incidence of chlamydia

11% 7%

32%

32%

12%

11%


between 2015 and 2018 from 80.9% to 90.8% of households





HIGH SCHOOL GRADUATION ADULTS WITH A DEDICATED HEALTH CARE PROVIDER

DEPRESSION

DIABETES

HIGH-SPEED INTERNET


Del

awar

e

DelawareState Health Department Website: dhss.delaware.gov

1.8%40.4%

9.7%$36,858

11.1%4.7%

27.4%9.8%8.2%9.4%4.4%8.5%

18.8%12.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Delaware

0.3224.1

$11142345

10.54.4186.913.917.290.842

31.851.8

0.4238.30.0

100.0 5,382,994

85.94

7.680.715.114.3

0.42710.6

39.0288.8287.56.6

73.066.5

82.043.859.282.34,745

-0.05535.523.88.4

26.6627.76.316.74.7%15.9

0.256

-0.19618.818.913.511.942.4

8,2891.211.712.58.96.312.0

36.435.434.4

0.142

16171736251619212236111

2834

183911

33191

12322219

1612

501810151029

824181236

3028222129432324

2419

3522302127493789

25372439

414135—

+++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++++

++++++++

++++++++++++++++++++++

++++++++++++++++++

++++++++++++++++++++++

+++++++

+++++++++++++++++++++++++++++++++++++

++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High prevalence of exercise• Low racial gap in high school graduation• Low percentage of housing with lead risk

Challenges: • High prevalence of high-risk HIV behaviors• High prevalence of non-medical drug use• High uninsured rate

18%

21%

10%

21%







SMOKING


SUICIDE



CHLAMYDIA

Flor

ida

FloridaState Health Department Website: floridahealth.gov

2.9%40.6%

11.6%$32,887

12.3%4.6%

25.1%7.4%8.0%9.5%4.0%7.7%

17.7%11.7%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Florida

-0.0305.1

$653786111.7

4.5286.39.315.687.553

22.852.6

0.1707.31.60.0

65,987,699 77.8

17.678.18.319.5

-0.55516.0

52.0174.7252.013.270.465.7

78.636.956.072.04,779

-0.05936.527.07.1

26.5499.2

7.516.75.9%14.8

-0.116

-0.03717.718.013.815.522.47,557

1.116.013.88.76.7

10.2

33.533.427.0

-0.101

29283929372925268

2332165028

3625374249242612214

45

4145

384127472031

1847234338

31304

3326224624

1833

271719254828284

2536333432

31267

—

++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++

++

+++++++++++++

+++++++++++

++++++++++++++++++++++

++++++

+++++++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low percentage of housing with lead risk• High percentage of fluoridated water• Low premature death racial inequality

Challenges: • High prevalence of avoided care due to cost• High prevalence of high-risk HIV behaviors• High prevalence of low birthweight

24% 26%

19%

21%

22%

59%



between 2008 and 2018 from 50.0 to 20.6 births per 1,000 females ages 15-19




FOOD INSECURITY FREQUENT MENTAL DISTRESS

LOW BIRTHWEIGHT

DIABETES


TEEN BIRTHS

Geo

rgia

GeorgiaState Health Department Website: dph.georgia.gov

2.1%37.9%12.1%

$32,65712.9%4.9%

23.9%7.7%6.5%8.8%3.8%7.4%

17.0%12.0%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Georgia

-0.0545.2$833415011.34.7781.610.316.486.853

26.555.9

0.6097.90.49.1

6,959,675 95.2

07.8

78.49.316.3

-0.83717.8

44.1149.9222.413.468.362.5

79.536.249.773.74,741

-0.56438.024.17.6

27.9632.2

8.020.65.3%16.3

-0.258

-0.31117.017.115.414.513.38,151

1.115.113.310.17.49.5

34.832.433.1

-0.278

3030342532273541122634164316

10332039376

3617245

32

4748

464638483239

1449363735

3941182734445036

2838

3710174046123641732473922

361928—

+++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++

++

+++++++++

+++++++++++

++++++++++++++++

+++++

+++++++++++++++++++++++++++++++++++++

+++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of household food insecurity• Low prevalence of high-risk HIV behaviors• Low prevalence of obesity

Challenges: • Low percentage of fluoridated water• High prevalence of severe housing problems• Low percentage of volunteerism

31%

35%

47%

26%

between 2010-2012 and 2017-2019 from 9.1 to 4.8 micrograms of fine particulate per cubic meter





INCOME INEQUALITY


SMOKING


DIABETES

AIR POLLUTION


Haw

aii

HawaiiState Health Department Website: health.hawaii.gov

8.5%40.2%

7.6%$36,989

9.2%4.0%

20.8%9.6%6.1%6.8%2.9%4.3%

12.8%10.5%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Hawaii

0.4864.5

$205286538.0

4.3684.56.013.389.851

28.044.0

0.3104.80.0

100.0 150,558

8.83

11.269.311.326.7

1.0788.2

77.1267.0223.5

4.275.175.3

77.943.766.083.61,971

0.35342.924.89.1

24.4541.84.917.27.1%12.3

0.545

0.84612.819.311.1

10.415.1

6,1291.012.310.68.34.96.5

30.729.925.0

0.622

1121317342153031115134049

28311

1050124221150

41

32537372

2125591

13501481630227

58

12

332191671

109

26153

1372

—

++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++

++++++++++

+++++++++++++++++++++++++

+++++++++++++++++++++

+++++++++++++++++++++++++++++

++++++++++

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low income inequality• Low racial gap in low birthweight• Low preventable hospitalization rate

Challenges: • Low high school graduation rate• High racial gap in high school graduation• Low percentage of fluoridated water

29% 54%

27%

36%

9%

22%








SUICIDE

DIABETES

HIGH-SPEED INTERNET


Idah

o

IdahoState Health Department Website: healthandwelfare.idaho.gov

2.8%41.3%8.5%

$29,60610.9%3.4%

25.3%10.0%

6.7%8.5%2.9%5.1%

22.7%10.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Idaho

0.1605.2

$150224509.8

3.9880.721.317.090.056

37.947.9

0.2676.61.5

13.2 85,870

31.70

9.278.312.614.4

-0.45514.5

59.2224.2211.410.867.065.6

74.038.244.172.1

2,390

0.27932.621.78.3

23.8382.8

6.616.05.8%15.3

0.083

0.36022.718.713.59.914.9

6,7881.6

24.512.97.34.39.6

30.631.229.4

0.147

233051032112

4544331424947

301236388

463630221721

3738

263343393932

364445423

17133322137

3322

2124

14372721161516324627139

26

111514—

++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++

++++

++++++++++++

++++++++++

+++++++++++++++++++++++++++

++++++

++++++++++++++++++++++++++++++++++++++++++

++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• High percentage of fluoridated water• Low prevalence of frequent mental distress

Challenges: • High prevalence of excessive drinking• High residential segregation• High premature death racial inequality

28%

26%

9%

9%






INCOME INEQUALITY


SMOKING


SUICIDE

HIGH-SPEED INTERNET


Illin

ois

IllinoisState Health Department Website: dph.illinois.gov

2.3%38.4%10.2%

$37,72811.8%5.0%

24.7%8.2%6.4%7.9%2.7%5.8%

18.3%11.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Illinois

0.0433.8$7940741

10.74.9786.513.512.089.06928.153.0

0.2399.50.1

100.0 21,508,993

98.22

8.072.424.916.9

0.01513.3

71.7253.7249.6

7.466.768.1

79.438.854.979.7

4,954

0.10833.223.46.925.6

604.05.915.8—

14.50.081

-0.04818.321.612.412.021.27,1781.811.611.58.57.48.9

32.231.531.6

0.049

241037332119422420518473726

3249121

453

22208

4434

2429

82728214118

1642251644

2317233621421620

1325

2820431530252236815294015

241721—

++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++

++++++

+++++++++++++++++++

+++++++++++++

++++++++++++++++++++++++

+++++++

+++++++++++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Indi

ana

IndianaStrengths:• Low income inequality• Low prevalence of severe housing problems• Low prevalence of excessive drinking

Challenges: • High premature death rate • High residential segregation• High prevalence of cigarette smoking

8% 10%

9%

22%

28%

23%







HOUSEHOLDS BELOW THE POVERTY LEVEL PREMATURE DEATH

OBESITY

DIABETES


EXERCISE

State Health Department Website: in.gov/isdh

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

1.5%39.4%10.4%

$30,98811.9%4.3%

27.0%9.8%7.2%9.9%3.4%8.7%

21.0%12.4%





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Indiana

-0.1196.0$5537147

13.54.3188.110.617.1

86.465

34.949.3

0.3168.70.431.5

9,651,384 92.4

09.1

81.621.312.9

-0.46212.6

50.1172.5231.9

8.768.264.4

71.242.141.277.9

4,810

-0.47936.921.19.1

30.9523.9

6.521.86.7%19.2

-0.226

-0.20721.016.514.310.824.9

8,6931.4

16.313.88.16.611.7

34.833.835.3

-0.224

3238482730381214133537421942

274620334110362735337

3825

414334293337

4431492540

3632358

43293139

4135

36331335233338242636232836

363040—

+++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++

+++++

+++++++++++

+++++++++

+++++++++++++++++++

+++

+++++++++++++++++++++++++++++++++

+++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of avoided care due to cost• High percentage of high school graduation• Low income inequality

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of excessive drinking• High percentage of housing with lead risk

40%

26%

9%

34%





61% between 2017 and 2018 from 10.7 to 17.2 percentage points


27% between 2016 and 2020 from 134.7 to 171.0 per 100,000 population



DIABETES

HIGH-SPEED INTERNET

AIR POLLUTION

Iow

a

IowaState Health Department Website: idph.iowa.gov

1.8%40.4%

7.4%$33,107

11.5%3.9%

25.7%8.0%6.8%8.4%2.2%6.1%

16.2%10.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Iowa

0.5515.4

$114267409.24.1091.417.216.788.156

41.559.6

0.4427.30.0

100.03,122,643

90.32

9.680.226.111.9

0.7468.5

58.4171.0245.2

5.071.570.8

79.348.360.982.8

3,632

0.11831.720.0

7.126.5

466.75.615.35.3%16.4

0.460

0.35016.222.512.310.09.5

6,6101.6

15.89.96.95.48.5

31.833.433.9

0.431

533141319841

3430282448

152511

2513223329453

92

28443161812

178101116

229413326181019

2910

157

4613173133223371914

232630—

+++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++

++++++++++

+++++++++++++++++++

++++++++++++++++++++++

+++++++++++++++++++++++++++

++++++++

++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low income inequality• Low prevalence of severe housing problems• Low prevalence of low birthweight

Challenges: • High prevalence of household food insecurity• Low prevalence of exercise• High prevalence of obesity

52% 66%

16%

41%

9%

44%

between 1988-1990 and 2016-2018 from 11.5 to 5.5 deaths per 100,000 workers


between 2017 and 2019 from 34.4% to 49.5% of adolescents ages 13-17




OCCUPATIONAL FATALITIES CHLAMYDIA

FREQUENT PHYSICAL DISTRESS

SUICIDE

HIGH-SPEED INTERNET

HPV IMMUNIZATION

Kan

sas

KansasState Health Department Website: kdheks.gov

1.9%40.4%

8.2%$32,885

11.6%3.9%

25.6%9.9%7.6%8.2%2.7%6.4%

19.9%10.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Kansas

0.1685.5$6441143

13.84.2787.210.715.988.454

36.556.9

0.1807.41.2

100.04,579,921

65.10

9.882.721.412.9

-0.08213.1

53.7209.7255.19.267.367.9

75.246.249.578.2

4,014

0.04633.120.88.627.1

488.55.8

20.05.5%16.2

0.087

0.05719.918.713.910.812.3

7,6681.5

19.511.67.46.59.6

33.534.935.2

0.078

213440342240918152423191214

3528351

3033363547347

2827

363625323721

3317382421

2616381831211332

2723

26262727231030273416142726

313639—

+++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++

++++++

++++++++++++++

++++++++++++++

++++++++++++++++++++++++

++++++

++++++++++++++++++++++++++++++++++++++++++

++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High high school graduation rate• High percentage of fluoridated water• Low violent crime rate

Challenges: • High prevalence of multiple chronic conditions• High premature death rate • High prevalence of cigarette smoking

30% 14%

32%

25%

13%

37%







HIGH SCHOOL GRADUATION RACIAL GAP UNINSURED RATE

SUICIDE

DIABETES

HIGH-SPEED INTERNET

AIR POLLUTION

Ken

tuck

y

KentuckyState Health Department Website: chfs.ky.gov/agencies/dph

2.1%39.3%12.8%

$29,02916.2%4.9%

34.3%9.5%9.0%12.1%3.9%

10.8%25.7%13.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Kentucky

-0.1514.9$912177014.74.8890.39.917.885.657

28.153.8

0.4067.91.7

35.2 3,827,804

99.81

11.182.015.613.7

-0.12112.1

56.9249.1270.16.4

69.661.9

71.942.154.981.7

5,509

-1.32841.115.34.7

32.8436.4

6.427.3—

23.6-0.385

-0.81325.716.817.213.429.8

10,0821.1

17.916.68.96.115.1

40.937.936.5

-0.493

3426277

4343393103940303725

19333931261

2640382312

3121

292817142641

4331251446

4848505048112847

4943

464916453941474

3048372249

464945—

+++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++

+++++

++++++++++++++++++

+++++++++++

+++++++++++++

++

++++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low percentage of housing with lead risk• High HPV vaccination coverage among adolescents• Low premature death racial inequality

Challenges: • High economic hardship index score• High premature death rate • High prevalence of cigarette smoking

16%

18%

27%7%

between 2014-2015 and 2018-2019 from $81 to $94 per person




PUBLIC HEALTH FUNDING


TEEN BIRTHS EXCESSIVE DRINKING


10% between 2011 and 2019 from 497 to 549 offenses per 100,000 population

VIOLENT CRIME


Loui

sian

a

LouisianaState Health Department Website: ldh.la.gov

2.3%39.3%14.0%

$28,66219.0%5.6%

27.6%7.9%7.9%

10.4%4.0%8.6%

23.9%12.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Louisiana

-1.0366.0$9454984

15.85.7381.417.518.682.454

25.849.8

-0.2548.03.627.9

18,561,626 39.0

115.782.113.115.8

-0.55114.8

48.4275.5217.28.9

69.358.1

73.938.759.576.45,561

-1.43237.519.76.931.9

774.87.9

27.55.7%21.9

-0.940

-1.06023.920.818.513.224.7

10,0281.315.714.910.88.412.3

39.737.635.9

-0.969

5038264648484942364347194538

4835453644452647411830

4039

442140302747

3743162747

5038433647494948

4850

50424049373246162145494741

454842—

++++++++++++++++++++++

++++++++++++++++++++

++++

+++++++++++++

+++++++++++

++++++++++

++

+++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High immunization coverage among children• Low racial gap in low birthweight• Low prevalence of non-medical drug use

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of multiple chronic conditions• Low prevalence of exercise

7%

76%

22%

56%





HIGH-SPEED INTERNET



CHLAMYDIA


TEEN BIRTHS

31% between 2015 and 2019 from 9.4% to 12.3%


Mai

ne

MaineState Health Department Website: maine.gov/dhhs

1.5%39.6%

6.8%$34,078

10.9%3.5%

31.8%11.8%9.5%

10.4%3.1%9.2%

23.5%10.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Maine

0.4513.8

$10911529

13.64.3586.716.316.788.356

38.765.6

0.4855.31.1

100.0 139,543

79.34

8.278.524.014.3

0.76912.3

58.5504.5330.8

8.075.865.3

86.646.452.685.4

3,556

0.18333.220.29.230.1

325.26.211.1

5.3%17.6

0.448

0.21523.519.914.28.3

26.67,205

1.019.214.07.22.413.2

36.234.931.7

0.391

1210181

133914223030242481

137

3419221

22254119

724

2743

252

34

11532515

2017397

404217

3511

23413733537231

3240111

44

403622—

+++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++

++++++++++++++++++++

++++++++++++++++++++++++++++++

++++++

+++++++++++++++++++++++++++++++++++++

+++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of non-medical drug use• Low prevalence of frequent physical distress

Challenges: • High racial gap in high school graduation• High prevalence of insufficient sleep• High residential segregation

24%

12%







30%

23%



HPV IMMUNIZATION

EXCESSIVE DRINKING



Mar

ylan

d

MarylandState Health Department Website: health.maryland.gov

2.4%37.9%9.6%

$43,3259.0%4.6%

24.0%9.0%7.1%7.2%2.8%5.4%

15.8%11.0%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Maryland

0.2654.7

$1084542211.1

4.5587.121.013.691.061

36.354.2

0.6377.20.0

100.0 684,433

93.747.1

73.917.716.2

0.70210.9

66.7284.2263.8

6.072.566.8

77.449.668.984.84,107

0.28937.124.08.023.4

586.35.814.1

4.3%12.7

0.408

0.54415.815.111.88.337.7

7,5411.3

10.710.08.85.88.2

34.334.932.2

0.444

18232040624261942149

391321

82211

14716102931

1014

142020121128

23447

23

1435212511391315

715

86785

48271655

362010

343626—

+++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++++++++++

+++++++++

+++++++++++++++++++++++

+++++++++++++++++++++

++++++++++++++++++++++++++

+++++++++

++++++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• Low economic hardship index score• Low teen birth rate

Challenges: • High prevalence of excessive drinking• High percentage of housing with lead risk• High income inequality

30%

12%

29%8%





VIOLENT CRIME


TEEN BIRTHS PREMATURE DEATH

LOW BIRTHWEIGHT


INCOME INEQUALITY


Mas

sach

uset

ts MassachusettsState Health Department Website: mass.gov/orgs/department-of-public-health

2.1%36.6%

8.7%$46,241

10.3%4.0%

24.5%10.3%

7.5%7.6%2.3%4.9%

18.5%8.4%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Massachusetts

0.5423.7

$144328

99.3

5.3487.818.411.091.358

32.655.5

0.2726.40.0

100.0 1,246,658

57.34

6.769.630.817.5

1.4438.7

86.3666.4362.8

3.077.174.4

79.750.574.387.3

4,883

0.55933.922.28.8

26.4444.0

6.27.2

5.6%12.0

0.691

0.75118.521.312.58.631.8

5,9731.1

10.410.57.64.38.9

28.130.725.2

0.712

789242947163935

322417

291011

1638143

4839

14

211113

13132

43

92128142512211

33

22142169

43444816915

4133—

++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++++++++++

++++++++++++++++++++

++++++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low income inequality• Low prevalence of non-medical drug use• Low uninsured rate

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of multiple chronic conditions• Low high school graduation rate

9% 36%

10%

16%

11%

29%







HIGH SCHOOL GRADUATION FREQUENT MENTAL DISTRESS


OBESITY

HIGH-SPEED INTERNET


Mic

higa

n

MichiganState Health Department Website: michigan.gov/mdhhs

1.6%39.1%8.6%

$32,89212.6%

5.1%

30.9%11.1%8.3%9.4%3.4%8.4%

21.4%11.1%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Michigan

-0.3474.3

$6043746

12.94.4980.613.918.387.971

29.459.5

0.0528.02.6

100.0 9,037,202

89.53

7.781.822.314.7

0.52011.7

68.0287.4278.8

5.874.671.0

78.440.459.485.5

4,820

-0.30039.023.36.525.4

507.86.315.86.1%18.7

-0.108

-0.44221.419.116.29.2

26.38,071

1.615.413.98.58.012.1

35.135.036.0

-0.186

441944382735244622423048359

4135421

40141216363725

1518

1319149811

203817441

3545244119242320

3931

40343243133534321938294140

383943—

++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++

++++++++

++++++++++++++++++++++++++

++++++++++++++++

+++++++++++++++++++++

++++

+++++++++++++++++++++++++++++

+++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of non-medical drug use• Low premature death rate

Challenges: • High prevalence of excessive drinking• High racial gap in high school graduation• High premature death racial inequality

7% 9%

27%

35%





HIGH-SPEED INTERNET PREVENTABLE HOSPITALIZATIONS


LOW BIRTHWEIGHT



10% between 2007-2011 and 2013-2017 from 14.6% to 13.2% of occupied housing units


Min

neso

ta

MinnesotaState Health Department Website: health.state.mn.us

2.1%39.4%

6.4%$39,025

9.0%3.2%

21.6%8.3%6.7%7.3%2.4%4.4%

20.2%8.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Minnesota

0.5463.3$84236178.64.1983.237.413.790.759

45.163.0

0.6826.80.5

100.0 1,982,571

98.83

8.377.619.713.2

0.60810.0

65.6274.4291.44.973.673.9

82.845.756.874.85,721

0.96128.725.58.519.9

422.65.510.25.0%14.6

0.687

0.54820.222.011.66.911.5

5,6483.413.39.96.94.27.6

28.729.830.1

0.652

65

3211447

344915123624

414261

172122320329

49

15238594

620213450

41

102051085

154

729457271

47113786

5617—

++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++++++++

+++++++++

+++++++++++++++++++++++++++

+++++++++++++++

+++++++++++++++++++++++++++++++++++++++

+++++++++

++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of excessive drinking• Low racial gap in high school graduation• Low residential segregation

Challenges: • High economic hardship index score• Low prevalence of exercise• High premature death rate

24%

26%

26%23%





FOOD INSECURITY


ADULTS WHO AVOIDED CARE DUE TO COST LOW BIRTHWEIGHT




HIGH-SPEED INTERNET

Mis

siss

ippi

MississippiState Health Department Website: msdh.ms.gov

2.6%39.8%14.7%

$25,30118.9%6.8%

28.9%9.9%6.6%11.3%2.9%9.4%

20.6%14.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Mississippi

-0.6748.5$8727810015.95.3784.08.718.280.648

23.854.2

-0.2467.85.531.1

2,102,778 60.7

014.284.811.015.4

-1.10017.2

43.2173.0232.313.062.654.1

80.039.430.573.6

5,628

-1.37537.115.76.337.7

740.16.727.85.6%20.4

-0.889

-0.97520.614.617.312.910.6

11,0111.5

14.214.012.18.413.2

43.636.840.8

-0.915

47472914504948327

40497

4921

4731493418353646491029

4947

474233464650

1141503849

4935484250483549

4649

49325

46365

49271240504744

494550—

+++++++++++++++++++++++++++++++

++++++++++++++++++++++++

++

+++++++

+++++++++

++++++++++

++

+++++++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• High high school graduation rate• Low prevalence of non-medical drug use

Challenges: • Low prevalence of exercise• High residential segregation• Low immunization coverage among children

11% 43%

14%

28%

9%

22%







HIGH-SPEED INTERNET CHLAMYDIA





Mis

sour

i

MissouriState Health Department Website: health.mo.gov

1.9%39.6%

9.3%$31,756

13.2%3.9%

27.1%10.1%8.1%

9.9%3.1%8.8%

22.8%10.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Missouri

0.0135.0$6149546

12.04.5889.211.613.186.968

31.955.0

0.3397.60.629.1

4,565,815 75.6

19.1

82.118.713.3

-0.34814.3

52.6209.8259.410.069.763.3

69.146.054.378.8

4,662

-0.83834.017.16.1

30.6568.16.921.65.6%19.6

-0.243

-0.40022.818.114.99.8

26.89,1121.6

20.113.38.78.311.2

30.934.434.8

-0.283

262741432730299178

33452718

2530293529262627413010

3536

373523352538

4719272233

4322464442333738

4236

38382138153840323932334635

153236—

+++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++

++++

++++++++++++++

+++++++++++++

+++++++++++++

+++

++++++++++++++++++++++++++++

++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High prevalence of exercise• Low prevalence of obesity• High percentage of volunteerism

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of excessive drinking• High premature death racial inequality

79%

40%

35%

21%







EXERCISE





CHLAMYDIA

Mon

tana

MontanaState Health Department Website: dphhs.mt.gov

1.9%40.6%

5.8%$32,625

12.7%4.2%

29.0%10.0%

8.3%8.7%2.4%6.8%

24.1%7.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Montana

0.0165.9

$12540543

10.34.4386.421.423.987.858

38.863.8

0.3436.30.4

100.0 221,212

30.73

11.176.217.314.7

-0.12210.3

64.9320.6261.58.3

64.466.4

69.142.946.773.0

2,932

0.63330.128.37.519.7

468.15.717.24.7%16.6

0.197

-0.45424.122.713.913.412.1

7,3722.725.113.47.48.1

10.8

29.530.528.3

0.033

25371032221422254549313273

229

201

12471240152725

3211

161622274430

4727434010

852

284191227

3021

4143482739924454734144233

6119—

+++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++

++++++

++++++++++++++++++

++++++++++++

++++++++++++++++++++++++++++++++++

++++++

+++++++++++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High immunization coverage among children• Low prevalence of frequent mental distress• Low prevalence of non-medical drug use

Challenges: • High prevalence of excessive drinking• High racial gap in high school graduation• High premature death racial inequality

8% 38%

52%

26%





HIGH-SPEED INTERNET FREQUENT MENTAL DISTRESS

SUICIDE

DIABETES


SMOKING



Neb

rask

a

NebraskaState Health Department Website: dhhs.ne.gov

1.9%40.7%8.0%

$33,27210.5%3.4%

23.1%8.0%7.0%7.7%2.4%5.7%

16.2%10.2%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Nebraska

0.3004.7

$963013811.4

4.0688.721.515.390.160

40.250.8

0.3667.00.0

100.0 815,500

71.60

11.081.822.412.6

0.56012.6

68.5275.2272.5

8.368.767.7

84.749.060.579.63,517

0.26231.620.97.3

26.9418.0

5.616.75.6%14.7

0.351

0.24516.221.911.37.37.4

6,6752.214.410.47.66.78.2

31.031.134.1

0.325

172324211728312462013386

36

211711

1530363936396

1325

122216273122

26121714

187

36313091024

1617

207

443321442157163010

181433—

+++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++

+++++++

+++++++++++++++++++

++++++++++++++++++++++

+++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low percentage of housing with lead risk• Low racial gap in low birthweight• Low residential segregation

Challenges: • Low prevalence of exercise• Low flu vaccination coverage• High prevalence of non-medical drug use

11% 63%

49%

25%

17%

28%







PER CAPITA INCOME CHLAMYDIA


OBESITY



Nev

ada

NevadaState Health Department Website: dhhs.nv.gov

4.3%38.6%13.1%

$33,57512.6%

5.1%

22.8%9.4%6.0%9.5%3.0%8.0%17.7%

10.9%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Nevada

-0.0803.8$5049462

12.94.3683.214.514.688.743

24.448.7

0.4808.30.10.0

544,403 75.0

27.6

77.05.218.8

-0.85415.1

55.5226.6182.811.4

60.664.7

75.232.552.966.3

3,936

-0.55937.020.05.4

25.8584.0

7.020.5

—15.7

-0.288

-0.10617.718.414.916.022.47,722

1.321.714.28.74.79.0

32.834.130.6

-0.249

31105042383515342416212

4843

1439124213272212191

43

4842

303250434736

3350315019

3833414723374035

2339

30172538502831164342331318

263119—

++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++

++

++++++++++

++++++++++

+++++++++++++++

+++++

++++++++++++++++++++++++++++++++++

+++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of household food insecurity• Low teen birth rate

Challenges: • High prevalence of frequent physical distress• High percentage of housing with lead risk• Low percentage of fluoridated water

22%

62%

21%

23%






INCOME INEQUALITY


MULTIPLE CHRONIC CONDITIONS

PREMATURE DEATH

SUICIDE


EXERCISE

New

Ham

pshi

re New HampshireState Health Department Website: dhhs.nh.gov

1.5%37.4%6.7%

$41,2418.1%

3.0%

26.5%10.8%

8.1%7.4%2.6%6.1%

20.0%9.2%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


New Hampshire

0.9653.7$87153

17.8

4.2288.813.513.192.454

35.756.2

0.3404.10.30.0

24,207 46.7

47.5

80.421.714.5

0.96211.4

63.6330.8303.2

6.375.268.9

84.247.763.288.43,837

0.90434.326.49.121.7

278.15.48.0

4.7%15.9

0.865

0.28420.018.613.98.334.1

6,819—

19.813.06.86.89.3

31.532.531.8

0.723

18

292118112083191615

241

17425

441

10313522

615

1815613517

41281

18

524587352

241

172726275

4517

37286

3619

202024—

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++

+++++++++

++++++++++++++++++++++++++

+++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++

++++++++++++++++

+++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• Low economic hardship index score• Low prevalence of high-risk HIV behaviors

Challenges: • Low flu vaccination coverage• High residential segregation• Low percentage of fluoridated water

33% 27%

9%

16%

8%

30%







VIOLENT CRIME CHLAMYDIA

DRUG DEATHS


HOUSEHOLDS BELOW THE POVERTY LEVEL


New

Jers

ey

New JerseyState Health Department Website: state.nj.us/health

3.2%38.4%

9.7%$44,888

9.4%4.8%

23.1%8.4%7.1%8.1%3.1%5.6%11.8%

10.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

‡

‡ All Behavioral Risk Factor Surveillance System data for New Jersey are from 2018.For source details and methodology visit www.AmericasHealthRankings.org.





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


New Jersey

0.6703.1

$69207288.5

4.9690.910.88.9

90.961

26.154.0

-0.5778.04.9

100.0 2,673,894

16.249.1

71.024.221.2

-0.06213.1

72.7245.1206.1

7.967.672.2

75.738.151.479.6

4,482

0.44537.621.98.9

28.5405.5

5.110.3—

13.10.297

0.69611.815.211.38.5

32.46,375

1.58.611.97.96.78.2

33.034.625.6

0.395

33

385123412161

10394423

5035471

21491

276

4247

2627

5294423357

3045341730

1140291337836

918

41838

4412271

21223210

28344—

++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++

++++++

+++++++++++++++++++

+++++++++++++

++++++++++++++++++++++++++++++

+++++++++

+++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low racial gap in low birthweight• High prevalence of exercise• Low residential segregation

Challenges: • High prevalence of 2+ adverse childhood experiences• High economic hardship index score• High prevalence of household food insecurity

84% 44%

37%

23%

28%

25%

between 2014-2015 and 2018-2019 from $123 to $226 per person






PUBLIC HEALTH FUNDING CHLAMYDIA

SUICIDE

DIABETES



New

Mex

ico New Mexico

State Health Department Website: nmhealth.org

3.3%40.6%

14.1%$28,423

17.1%5.6%

25.9%8.4%7.0%7.5%3.6%5.6%17.3%12.3%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


New Mexico

-0.9896.4

$2268329016.85.0773.913.321.779.44527.148.1

0.2625.93.3

100.0 12,354

76.73

10.980.712.417.3

-0.08613.9

62.4407.2247.910.064.765.1

76.543.159.869.82,788

-0.19232.625.76.625.4

670.56.325.3—

16.0-0.429

-0.13517.316.314.810.426.4

9,2921.8

25.714.49.04.59.5

31.631.331.7

-0.355

49402

49495043501847504

4246

318

4312

251238321637

2934

211030354335

292615458

34138

4019462342

2644

31141237193641364943391222

211622—

++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++

+++++

++++++++++++++++

++++++++++++++++

++++++++++++++++++++++

++++

++++++++++++++++++++++++++++++++

++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• Low prevalence of cigarette smoking• Low premature death rate

Challenges: • Low immunization coverage among children• High income inequality• High residential segregation

44%

21%

26%

22%






OBESITY

CHLAMYDIA

19% between 2006-2008 and 2016-2018 from 1.6 to 1.3


SUICIDE

FOOD INSECURITY

EXERCISE

New

Yor

k

New YorkState Health Department Website: health.ny.gov

4.9%37.6%12.4%

$41,85713.3%4.5%

22.2%9.3%6.9%7.9%2.5%5.8%

15.3%10.5%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


New York

-0.2133.1

$14735946

10.55.7482.321.110.388.3

7125.349.5

0.2146.40.3

100.02,537,300

71.54

5.852.833.223.5

0.31711.5

70.3313.5290.6

5.270.069.8

70.844.957.079.4

4,234

0.22038.624.111.027.2

602.46.811.7

5.4%12.7

0.065

0.51815.318.211.811.818.5

5,8001.38.711.78.16.48.3

29.632.627.1

0.181

3736

2627165037432

24484740

3410171

2031111

5048

1916

111797

2213

4521192027

1943183

3241369

726

105

228

2622316218232513

7228—

++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++++

+++++++++++++++

++++++++++++++++++++++++

++++++++

++++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of 2+ adverse childhood experiences• High immunization coverage among children• Low prevalence of excessive drinking

Challenges: • High prevalence of high-risk HIV behaviors• High prevalence of multiple chronic conditions• High prevalence of avoided care due to cost

10%

21%

11%

7%











HIGH-SPEED INTERNET


Nor

th C

arol

ina North Carolina

State Health Department Website: ncdhhs.gov

2.3%38.6%11.4%

$32,02113.3%4.7%

27.0%8.3%7.8%9.7%3.9%7.8%

21.6%11.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


North Carolina

0.1675.1

$6137253

13.94.6286.39.612.386.84935.152.4

0.6287.00.00.3

7,228,746 87.6

37.1

80.210.615.1

-0.07615.9

50.6265.5253.211.371.765.4

82.449.249.576.0

4,498

-0.47935.421.68.2

26.3647.8

7.318.75.1%18.5

0.008

-0.13521.615.413.811.921.8

8,0721.3

14.312.79.26.711.9

35.135.034.0

-0.030

222841283441302697

34101830

9171

413817126

298

28

2744

402626411633

75

382831

3627342324454329

3829

31359

25272735161426403037

383931—

+++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++++

++++

+++++++++++++++

+++++++++++++++++

++++++++++++++++++

+++++

++++++++++++++++++++++++++++++++++++++

++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of frequent physical distress• Low racial gap in low birthweight

Challenges: • High prevalence of excessive drinking• High occupational fatality rate• High premature death racial inequality

53%

33% between 2017 and 2019 from 57.8% to 76.9% of adolescents ages 13-17


19% between 2015 and 2019 from 239 to 285 offenses per 100,000 population

VIOLENT CRIME






40% between 2017 and 2019 from 15 to 21

ECONOMIC HARDSHIP INDEX SCORE HPV IMMUNIZATION

Nor

th D

akot

a North DakotaState Health Department Website: health.nd.gov

1.8%39.0%

6.5%$36,611

11.4%2.8%

25.4%8.1%7.2%7.5%2.7%5.1%

17.9%8.9%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


North Dakota

0.4937.5

$123285218.8

4.3988.119.416.684.947

37.461.9

0.8165.00.1

100.0 213,988

96.50

18.382.517.011.6

0.3859.2

59.8204.3302.6

6.967.067.6

76.947.376.969.54,128

-0.04332.020.15.8

28.0466.6

5.416.46.4%17.0

0.372

0.28717.923.311.39.29.5

6,8992.819.69.36.63.18.0

29.828.834.8

0.348

104511165517144128436105

15121114

364846262

185

24377193924

26142

4624

2810404635175

23

3116

1619493133

2046361238

84

36—

++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++++++

+++++++++

+++++++++++++++++++

++++++++++++++++

+++++++++++++++++++++++++

++++++

++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of non-medical drug use• Low prevalence of severe housing problems• Low uninsured rate

Challenges: • High prevalence of multiple chronic conditions• High prevalence of cigarette smoking• High residential segregation

36%

20%

18%

19%








TEEN BIRTHS


DIABETES

FOOD INSECURITY


Ohi

o

OhioState Health Department Website: odh.ohio.gov

1.5%39.5%

9.2%$32,780

12.9%4.7%

30.5%11.1%8.1%

10.1%3.3%9.0%

20.3%12.0%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Ohio

-0.2614.1

$5729347

13.24.5782.117.017.588.267

33.252.5

0.0828.71.0

100.027,391,214

92.51

7.982.424.813.7

-0.08612.1

55.1272.2261.86.667.267.4

72.742.849.679.6

4,866

-0.66739.720.96.3

28.3542.3

6.018.95.4%20.8

-0.289

-0.44020.318.716.310.034.88,857

1.415.713.98.57.1

12.7

34.532.834.8

-0.326

4217461830372738323827442229

3946331

479

2619444312

2921

332421153826

4028371742

4146364236311830

4740

39302744174639242138293742

352436—

++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++

++++++

+++++++++++++++++

++++++++++++

++++++++++++++++

+++

++++++++++++++++++++++++++++++

+++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of excessive drinking• Low racial gap in high school graduation• Low premature death racial inequality

Challenges: • High prevalence of 2+ adverse childhood experiences• Low prevalence of exercise• High premature death rate

14% 19%

16%

32%

18%

53%









SUICIDE


TEEN BIRTHS

Okl

ahom

a

OklahomaState Health Department Website: ok.gov/health

2.6%40.1%11.6%

$29,66614.8%4.5%

26.8%10.2%

7.4%11.2%3.9%8.7%

23.0%12.2%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Oklahoma

-0.4466.8$954326615.64.6381.86.1

19.885.652

32.049.4

-0.0828.44.00.0

3,046,572 67.5

012.382.714.714.0

-0.71516.2

55.3411.3212.414.362.760.4

77.944.841.875.5

4,723

-1.06537.015.65.1

34.0559.0

6.027.2—

18.9-0.616

-0.54323.013.715.615.718.8

9,7081.2

20.514.88.36.712.8

37.836.436.8

-0.601

45422537404631394

4540142641

4543464223323644472115

4646

319

42494545

2122473034

4633494949321846

4048

433944149234384144263243

424347—

++++++++++++++++++++++++++++++

++++++++++++++++++++

++

+++++++++++

++++++++++++

+++++++++++++

+++

+++++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of low birthweight • Low racial gap in low birthweight• High percentage of volunteerism

Challenges: • Low immunization coverage among children• Low high school graduation rate• High prevalence of non-medical drug use

31% 64%

10%

25%






LOW BIRTHWEIGHT


MULTIPLE CHRONIC CONDITIONS


AIR POLLUTIONADULTS WHO AVOIDED CARE DUE TO COST

Ore

gon

OregonState Health Department Website: oregon.gov/oha/ph

3.4%38.7%8.6%

$35,53111.4%5.1%

26.3%11.1%7.2%8.2%3.1%6.1%

24.6%8.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Oregon

0.2063.9$862844511.1

4.4478.715.117.391.154

43.261.1

0.0148.30.5

100.0 22,308,014

26.33

7.571.516.119.1

0.16013.5

72.3571.0244.4

7.272.468.0

65.042.860.875.4

2,650

0.35832.124.99.0

23.9464.0

7.413.35.4%14.5

0.212

0.25924.619.614.115.312.9

6,2621.3

19.812.46.74.510.0

30.630.329.0

0.223

2014311525242347273761937

4239261

464812107

2444

2231

62

32201219

502811326

1212121114144413

1320

19463532471111163724511

30

111011—

++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++

+++++

++++++++++++++++++++++++

+++++++++++++++

+++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++++++++++++++++++

+++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High immunization coverage among children• Low economic hardship index score• Low uninsured rate

Challenges: • High percentage of housing with lead risk• High racial disparity in low birthweight• High residential segregation

8% 28%

16%

26%

19%

18%







HIGH-SPEED INTERNET LOW BIRTHWEIGHT RACIAL GAP

OBESITY

SUICIDE


SMOKING

Penn

sylv

ania Pennsylvania

State Health Department Website: health.pa.gov

1.5%39.2%

9.0%$35,804

11.9%4.6%

29.1%10.9%8.0%9.2%3.1%7.2%

19.6%10.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Pennsylvania

0.0034.0$613063911.1

4.7385.918.414.988.168

34.254.6

-0.0888.80.40.0

44,009,275 55.7

37.3

75.228.914.7

0.76510.0

60.0227.0281.85.871.969.5

84.348.160.183.84,461

-0.17237.521.87.0

25.6463.4

6.614.1—

17.30.097

-0.16119.618.013.710.735.07,807

1.415.413.08.38.611.1

33.333.533.2

0.037

2715412218243228391828452020

464820424841129124725

89

23311291414

310148

29

3338303521133315

3222

34241924214732241928264934

302929—

+++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++

++++++++++++++++++++++

++++++++++++++++++++++

+++++

++++++++++++++++++++++++++++++++++

+++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low premature death racial inequality• Low uninsured rate

Challenges: • High racial gap in high school graduation• High prevalence of high-risk HIV behaviors• High percentage of housing with lead risk

72%

24%

45%

15%








EXERCISE

CHLAMYDIA

DIABETES



Rho

de Is

land

Rhode IslandState Health Department Website: health.ri.gov

1.9%36.9%10.7%

$37,52511.9%4.4%

26.8%11.2%7.9%8.0%2.4%6.9%

19.6%10.4%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Rhode Island

0.2654.7

$14722131

11.04.8184.018.313.489.757

30.751.6

0.0857.00.0

100.0 48,020

83.24

5.979.631.418.0

1.2258.6

54.2433.1344.1

4.175.772.3

79.550.478.985.4

3,964

0.28436.524.110.426.5517.8

7.111.5

5.5%13.3

0.438

0.27219.620.113.912.429.76,1741.09.813.07.65.210.1

33.032.530.0

0.403

18236914223832371316303235

38171162112

264941

23

3562236

14215

20

1630184

2627428

1013

182438273240813

28161631

282016—

+++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++

++++++++++

+++++++++++++++++++++++++++

+++++++++++++++++++++++

++++++++++++++++++++++++++++

+++++++++

++++++++++++++++++++++++++++++++++++++++++++

+++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low percentage of housing with lead risk• Low racial gap in high school graduation• Low residential segregation

Challenges: • Low high school graduation rate• High prevalence of multiple chronic conditions• High premature death rate

15% 20%

19%

16%

8%

18%







HIGH-SPEED INTERNET EXCESSIVE DRINKING

SUICIDE

DIABETES



Sout

h C

arol

ina South Carolina

State Health Department Website: scdhec.gov

2.2%39.8%

11.7%$31,295

14.0%4.8%

28.3%9.4%8.1%

10.6%2.9%8.1%

20.0%13.4%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


South Carolina

-0.2286.5$845116211.04.7481.010.616.584.945

30.848.7

0.6407.20.032.0

5,294,869 91.9

19.582.19.514.5

-0.37114.9

48.8186.0226.210.870.961.8

76.842.653.075.34,141

-0.62037.423.07.2

28.8674.9

6.922.0

—17.5

-0.245

-0.48420.020.113.011.422.49,319

1.215.913.59.68.111.9

38.336.735.3

-0.308

414132443822344313274343143

7221

323211263141622

3640

434036391942

2730303325

4037253238473740

3437

422738202528428

2435464237

434440—

+++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++

++++

++++++++++++

++++++++++++++

++++++++++++++++

++++

+++++++++++++++++++++++++++++++

++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of frequent mental distress• Low income inequality• Low prevalence of non-medical drug use

Challenges: • High prevalence of 2+ adverse childhood experiences• High racial gap in high school graduation• High premature death racial inequality

7% 49%

23%

36%

37%

48%









DIABETES

HPV IMMUNIZATION

TEEN BIRTHS

Sout

h D

akot

a South DakotaState Health Department Website: doh.sd.gov

2.0%41.7%7.9%

$31,55010.6%3.2%

26.7%8.5%7.4%8.4%2.9%5.9%17.3%10.6%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


South Dakota

-0.2157.4

$11239944

10.94.1184.139.918.285.458

36.351.9

0.6435.21.9

100.0 66,505

93.70

11.379.819.512.2

0.1869.8

55.2195.1279.310.269.168.0

74.748.561.275.7

4,087

0.03929.121.86.7

30.0509.6

4.520.44.6%18.3

0.047

0.15217.322.610.66.46.8

7,4003.519.510.86.66.29.3

30.928.133.0

0.073

394415312421531504042321332

6641177

364327315

217

323813382819

3579

2922

272

303939251

34

3628

241447111

254834122

2319

151

27—

++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++

++++++++

+++++++++++++++++

++++++++++++++++++

+++++++++++++++++++++++++

+++++

+++++++++++++++++++++++++++++++++++++++++++++

++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of excessive drinking• High percentage of high school graduation• Low racial gap in high school graduation

Challenges: • High prevalence of multiple chronic conditions• High premature death rate • High violent crime rate

40% 26%

10%

30%

15%

18%







AIR POLLUTION CHLAMYDIA

PREMATURE DEATH

DEPRESSION

HIGH-SPEED INTERNET


Tenn

esse

e

TennesseeState Health Department Website: tn.gov/health

1.9%38.8%12.0%

$31,22413.6%4.7%

30.7%8.8%7.9%

11.0%3.7%9.7%

25.0%13.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Tennessee

-0.2175.7

$10059555

12.44.5790.09.916.885.765

31.349.6

0.4297.21.70.0

12,853,013 88.8

09.5

82.012.314.2

-0.65514.9

47.9164.1268.510.169.158.3

73.941.243.074.2

4,792

-0.69440.021.88.630.1

569.06.325.35.6%19.9

-0.346

-0.71725.015.815.812.726.99,981

1.217.115.19.37.1

14.6

39.336.236.5

-0.442

403623483631275103239423039

1722394242163631381518

4440

454518372846

3737463639

4247301840342342

4342

444711423439458

2946413748

444245—

++ +++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++

+++

++++++++++++

+++++++++

+++++++++++++++++

++

+++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High high school graduation rate• Low racial gap in high school graduation• Low prevalence of multiple chronic conditions

Challenges: • High prevalence of avoided care due to cost• High teen birth rate• High uninsured rate

13% 30%

20%

20%

26%

26%








DIABETES

SUICIDE


TEEN BIRTHS

Texa

s

TexasState Health Department Website: dshs.state.tx.us

4.7%38.4%15.4%

$32,26713.1%4.4%

20.7%7.1%6.1%8.3%3.3%5.2%

17.2%12.2%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Texas

-0.1215.2$5941967

14.04.7890.08.615.386.752

28.448.4

-0.0738.41.6

44.5 353,924,163

72.71

12.380.19.817.4

-1.29318.8

51.7123.7191.718.459.760.7

72.140.048.468.1

4,656

-0.04734.524.39.627.2517.67.0

25.35.2%14.7

-0.329

0.21717.219.312.211.910.77,1261.2

14.210.98.56.78.1

31.734.834.0

-0.201

3330453541423656

2036143645

4343373050292644287

38

5050

394947504944

4239404732

2926176

32264042

1641

22123312276218121329349

223531—

+++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++

++

+++++++

++++++++

+++++++++++++++++++++++

+++++

+++++++++++++++++++++++++++++++++++++++++++++++

+++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low income inequality• Low racial gap in low birthweight• Low prevalence of cigarette smoking

Challenges: • Low HPV vaccination coverage among adolescents• High prevalence of non-medical drug use• High premature death racial inequality

15% 38%

16%

7%

21%

37%







SEVERE HOUSING PROBLEMS FREQUENT MENTAL DISTRESS

OBESITY

HIGH HEALTH STATUS


TEEN BIRTHS

Uta

h

UtahState Health Department Website: health.utah.gov

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

3.4%40.4%

7.0%$31,771

9.1%3.2%

23.1%9.9%5.4%5.6%2.5%4.1%

23.1%8.0%





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Utah

0.7373.8$81236369.8

3.7087.013.315.092.950

51.057.6

0.4937.80.1

100.0 2,974,965

52.20

8.476.111.413.6

0.01214.3

59.5354.7187.59.7

70.072.0

79.841.544.672.9

2,287

1.06031.224.97.4

18.5339.8

5.813.16.1%7.9

0.646

0.60723.112.014.213.621.6

6,2051.9

22.210.77.23.67.4

25.829.529.2

0.630

210351116111

2018191111

12

1231121

22423624141211

2536

25144933228

123544412

261230151312

17

6401

3343269

3844111145

1513—

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++

+++++

++++++++++++++++++

+++++++++++++

+++++++++++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High prevalence of exercise• Low economic hardship index score• Low racial gap in low birthweight

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of high-risk HIV behaviors• High percentage of housing with lead risk

46%19% between 2016 and 2020 from 407.3 to 486.2 per 100,000 population


26%

23%



EXERCISE

CHLAMYDIA


67%

27%



VIOLENT CRIME



Verm

ont

VermontState Health Department Website: healthvermont.gov

1.9%38.3%

6.9%$35,702

10.8%3.5%

27.1%11.6%7.2%8.7%2.4%6.6%

22.1%8.7%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Vermont

0.4955.6

$157202229.6

4.4085.116.216.686.148

36.054.9

0.3674.80.4

100.0 317 56.2

47.2

76.223.417.0

1.1409.3

62.8486.2305.3

4.571.872.6

81.847.663.686.2

3,248

1.07229.928.514.1

20.0274.5

7.48.8—

15.10.761

0.48222.121.014.08.225.7

6,844—

19.412.37.03.09.8

30.230.626.6

0.695

93544610182929283871519

203

2011

4018154035

36

20554155

9136311

141162

444

202

123641314

3418

332392

28

9126—

+++++++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++++++++

+++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++

+++++++++

++++++++++++++++++++

++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of household food insecurity• Low economic hardship index score• Low residential segregation

Challenges: • High racial gap in high school graduation• Low mental health providers rate• High prevalence of non-medical drug use

7%

27%

21%

22%





HIGH-SPEED INTERNET


SMOKING


SUICIDE



CHLAMYDIA

Vir

gini

a

VirginiaState Health Department Website: www.vdh.virginia.gov

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

2.0%37.7%10.0%

$40,6359.8%4.1%

26.2%8.8%7.0%8.0%2.7%6.5%

17.0%10.9%





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Virginia

0.5394.5$802082310.1

4.8087.518.313.289.048

34.057.5

0.7436.90.00.0

8,277,922 96.3

18.4

76.613.514.6

0.27812.0

60.5193.2230.3

7.970.071.7

78.647.955.278.3

4,200

0.17338.022.78.8

25.3507.3

6.114.34.9%14.0

0.416

0.24317.016.612.712.416.8

6,8631.3

14.511.78.26.69.4

33.632.731.9

0.371

821366813371737101872113

2151

42395

2624171924

2020

22393523229

1811242326

2141261418232017

1214

21101518322019161618252821

332325—

+++++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++++

++++++++

++++++++++++++++++

+++++++++++++++++

++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++++++++++++++++++++++++++

++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low racial gap in low birthweight• Low prevalence of physical inactivity

Challenges: • High prevalence of non-medical drug use• High premature death racial inequality• Low percentage of fluoridated water

12% 22%

25%14%





PER CAPITA INCOME CHLAMYDIA


EXCESSIVE DRINKING



AIR POLLUTION


Was

hing

ton Washington

State Health Department Website: doh.wa.gov

3.5%37.7%8.3%

$41,5219.5%4.7%

24.6%9.9%7.6%7.6%2.7%5.2%

24.2%9.4%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Washington

0.6293.0

$10229426

10.34.4186.717.013.392.656

35.761.9

0.4348.30.4

100.0 5,939,624

63.93

9.070.914.517.0

0.54411.5

71.6413.8248.4

6.672.169.2

77.348.353.375.5

2,804

0.85631.625.98.719.2

465.25.912.7—

12.60.647

0.44624.215.713.613.515.2

6,0861.916.712.26.63.99.5

30.331.928.3

0.596

42

22201114192232112

24165

1639201

343412265

2035

1416

98

29151316

248

29309

677163151610

66

1345102342176

38272227

22

10189—

+++++++++++++++++++++++++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++++

+++++++++++++++++++

+++++++++++++++++++++++++++++++++++++

++++++++++

++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low prevalence of excessive drinking• High high school graduation rate• Low racial gap in low birthweight

Challenges: • High economic hardship index score• High prevalence of frequent mental distress• High prevalence of multiple chronic conditions

28%

37%

10%

32%








TEEN BIRTHS

EXCESSIVE DRINKING


HIGH-SPEED INTERNET


Wes

t Vir

gini

a West VirginiaState Health Department Website: dhhr.wv.gov

1.2%40.5%12.9%

$27,44616.7%6.2%

41.3%11.5%9.8%

14.8%4.2%

12.3%28.8%15.7%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


West Virginia

-0.4639.9

$1473178315.74.9090.24.419.683.65628.144.1

-0.0757.419.665.1

6,000,827 90.7

010.782.021.811.2

-0.26013.4

49.7140.5282.7

6.768.155.3

77.044.347.481.7

5,593

-0.90641.417.15.231.2

198.25.4

25.4—

23.8-0.489

-0.76828.813.220.613.849.1

11,3381.2

21.619.09.43.6

20.0

43.839.539.7

-0.559

46486

2347474042

4445243748

442850283512363738361

3330

424811183449

2523411448

444946484415

45

5046

45502

504550508

4250425

50

505049—

++++++++++++++++++++++++++++++++

+++++++++++++++++++++++++++

+++++

+++++++++++++

++++++++++++

++++++++++++++++

++

+++++++++++++++++++++++++

+++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low economic hardship index score• Low prevalence of high-risk HIV behaviors• Low income inequality

Challenges: • High prevalence of excessive drinking• High premature death racial inequality• High residential segregation

9%

10%

27%

12%







SMOKING

LOW BIRTHWEIGHT




CHLAMYDIA

Wis

cons

in

WisconsinState Health Department Website: dhs.wisconsin.gov

1.5%39.2%

7.2%$34,568

10.2%3.3%

27.6%10.2%

7.7%7.3%2.8%5.6%

20.5%8.7%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Wisconsin

0.3934.0$55293258.94.1289.724.114.788.672

37.464.6

0.1397.03.3

100.0 4,334,580

87.32

7.880.822.314.0

0.64710.6

63.5216.0264.5

5.775.271.2

76.846.160.582.3

3,702

0.52632.024.77.5

23.2483.6

5.313.04.8%15.4

0.445

-0.15120.523.612.78.818.9

6,6762.1

15.311.37.79.39.5

31.033.334.2

0.300

14154818966847172250102

3717431

28182217343715

1112

1934198510

2718121217

101015281020411

2212

33315018102415401814215022

182534—

++++++++++++++++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++

++++++++

+++++++++++++++++++++++++

+++++++++++++++++++

+++++++++++++++++++++++++++++++++++

+++++++

++++++++++++++++++++++++++++++++++++++

+++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• Low incidence of chlamydia• Low income inequality• Low economic hardship index score

Challenges: • High prevalence of 2+ adverse childhood experiences• High racial gap in high school graduation• High premature death racial inequality

29%

39%






SMOKING FREQUENT MENTAL DISTRESS

DRUG DEATHS


INCOME INEQUALITY

8% between 2017 and 2018 from 8.7% to 9.4% of live births

LOW BIRTHWEIGHT

Wyo

min

g

WyomingState Health Department Website: health.wyo.gov

2.1%40.3%

5.5%$34,104

10.7%3.7%

25.0%9.5%7.3%8.0%2.3%6.8%

19.2%7.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


Wyoming

-0.2149.9

$11221732

12.64.3381.724.821.589.055

32.752.1

0.7104.50.50.3

18,544 57.10

20.476.916.111.9

-0.67213.5

63.8360.9221.312.358.867.7

73.936.541.567.0

3,300

0.05132.924.56.924.6374.46.3

20.86.5%18.4

-0.112

0.07919.219.012.610.711.6

7,5702.4

25.811.89.43.68.9

30.728.1

29.7-0.069

384815715341340484618232331

32

26414

39364918243

4531

171339455022

3748484912

25151636176

2337

3732

25233117218

2943502042515

131

15—

++++++++++++++++++++++++++++++++++++++

++++++++++++++++++++++++++++++++++++

+++

+++++++++++++++

+++++++++

+++++++++++++++++++++++++++

++++

+++++++++++++++++++++++++++++++++++++++

+++++++++++++

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH

Summary



Highlights:




State Value

State Value

Measure

Measure


Strengths:• High mental health provider rate• Low prevalence of multiple chronic conditions• High percentage of fluoridated water

Challenges: • High prevalence of 2+ adverse childhood experiences• High prevalence of non-medical drug use• High preventable hospitalization rate

85%

59%

95%

14%

31%








EXERCISE

CHLAMYDIA

DRUG DEATHS

PER CAPITA INCOME


Dis

tric

t of C

olum

bia

District of ColumbiaState Health Department Website: dchealth.dc.gov

2.7%30.5%

8.1%$59,808

12.6%6.4%

17.2%11.4%5.2%6.7%2.0%4.5%

20.5%8.7%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •





B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723


District of Columbia

—5.5

$6181049

—10.66.2768.524.019.488.367

39.861.1

—9.5——

19,043 100.0

32.9

33.033.920.9

—10.4

102.6562.1489.3

3.573.873.8

75.348.475.576.65,176

—34.827.210.419.0

1298.914.219.3—

12.7—

—20.527.211.517.240.98,670

4.87.89.2

10.09.47.1

27.228.223.8

—



Summary

Highlights:

8%

11%

19%

15%

23%

25%









LOW BIRTHWEIGHT

OBESITY


MULTIPLE CHRONIC CONDITIONS SUICIDE

FLU VACCINATION



6% between 2018 and 2019 from 51.1% to 54.2% of adolescents ages 13-17

HPV IMMUNIZATION


NON-MEDICAL DRUG USE IN THE PAST MONTH

Uni

ted

Stat

es

United StatesState Health Department Website: hhs.gov

State Nation



PERC

ENTA

GE

OF

AD

ULT

SYE

ARS

LO

ST B

EFO

RE A

GE

75

PER

100,

00

0 P

OPU

LATI

ON

25

20

15

10

5

0

12,000

10,000

8,000

6,000

4,000

2,000

0

2011 2013 2015 2017 2019DATA YEAR

1987 2002 2018DATA YEAR

PREMATURE DEATH





State Value

State Value

Measure

Measure

3.3%38.7%11.4%

$35,67212.2%4.6%

25.9%9.7%7.3%8.4%2.9%6.5%

19.9%10.8%

Year

s lo

st b

efor

e ag

e 75

per

100,

000

popu

latio

n

State Nation

1.. 1.. 1.. 1.. 1.. 1.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2.. 2..0K1K

2K3K

4K5K6K

7K8K

9K10K

11K12K

• •• •• •• •• •• •• •• •

Perc

enta

ge o

f adu

lts

State Nation

2011 2012 2013 2014 2015 2016 2017 2018 20190

5

10

15

20

25

• •• •• •• •• •• •• •• •






B E H AV I O RS


MeasuresRating Rank

+++++++++

+++++

+

1–1011–2021–3031–4041–50







Healthiest

0.9652.9

$2891151

7.83.7091.43.98.9

92.942

51.065.6

0.8164.10.0

100.031799.8

45.8

52.85.211.2

1.4438.2

90.6666.4362.8

3.077.176.5

86.650.578.988.41,971

1.07228.728.514.118.5

198.24.57.24.37.9

0.865

0.84611.812.010.66.46.8

5,6481.08.69.35.92.46.4

25.828.123.8

0.723

United States

0.000 4.4$91379—

11.74.8585.315.614.788.3

—30.353.4

0.0008.31.1

61.13,122,643

73.0—8.7

75.917.617.5

0.00012.6

61.2268.6241.99.2

69.767.6

75.843.754.277.3

4,237

0.00034.523.08.026.4

539.96.317.4—

15.90.000

0.00019.918.613.811.920.67,350

1.514.812.58.37.09.5

32.533.331.9

0.000

alabama - america's health rankings...water flratn latn serve) limate hange clate change ples...

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